| NPI | 1447593462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 72741) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 67226) |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 67226) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2023-02-06 |